Role of Multi-Disciplinary Team Clinic in the Management of Orthognathic Patients A Seven Years Review of Orthognathic Surgery

Bashar Tawfeeq,Younis Saeed,Dina Al-Khashab,Rawaa Al-Rawee,Mahmood Ahmed

doi:10.33899/rden.2020.165621

Abstract

Aims: to evaluate the need for and benefits of Multi-Disciplinary Team (MDT) clinic in treating orthognathic patients. Materials and Methods: a total number of 272 patients were examined in 2 centers in Mosul. The sample divided into 2 groups, first group diagnosed from Feb 2004 till March 2009 without MDT clinic, while second group diagnosed from April 2009 till July 2011 in MDT clinic, and evaluated for their needs and wants to correct functional and esthetic problems, a criteria were applied to all of them to manage the real need for the surgical work. Results: from total patients seeking treatment, first group were 116 patients, 54 patients (46.5%) operated, while the second group were 156 patients, 33 patients (21.1%) operated. Conclusions: need for surgical correction of facial and gnathic deformities is a three handed subject: patient's real complaint, team work decision and medical staff education.

Highlights

Orthognathic surgery refers to a group of corrective bone operations that involve movement of the jawbones completely or in parts.[1]
Le Fort I osteotomy was popularized by Obwegeser in the mid-20th century as a standard procedure in maxillofacial surgery to correct dentofacial deformities. [5,6] The modern history of orthognathic surgery started in the 1970s, as it gradually became a routine choice, with benefits such as improvement of mastication and reduction of facial pain and more stable results even in severe discrepancies [7,8] The prevalence of dento-facial deformities has been estimated as
The collected sample divided into two groups, first group diagnosed from Feb 2004 till March 2009 without Multi-Disciplinary Team (MDT) clinic, while second group diagnosed from April 2009 till July 2011 in MDT clinic, and evaluated for their needs and willingness to correct functional and esthetic problems, a criteria were applied to all of them to manage the real need for the surgical work

Summary

Introduction

Orthognathic surgery refers to a group of corrective bone operations that involve movement of the jawbones completely or in parts.[1]. The classification and analysis of facial skeletal deformities is complex and involves discrepancies in all planes of space. Indications for orthognathic surgery, other than the purely anatomical ones, include the psychosocial and biophysiologic factors which greatly affect the need and demand for treatment. [13,14] Maxillary and/or mandibular facial skeletal deformities associated with masticatory malocclusion may include: Anteroposterior discrepancies, Vertical discrepancies, Transverse discrepancies, facial Asymmetries, In addition, orthognathic surgery may be indicated in cases where there are specific documented signs of dysfunction. These may include conditions involving airway dysfunction such as sleep apnea, temporomandibular joint disorders, psychosocial disorders and \ or speech impairments. Avoid class II and class III mechanics (unless required for dental decompensation correction in the arches) as well as perform stable and predictable orthodontics. [15] Considering the

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